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Gummy smile is a smile that shows an excessive amount of gum tissues under the upper lip. The goal is to create a more toothy smile. There several treatment options for those with a gummy smile. Some surgical and some non surgical. The presence of a gummy smile should not be considered an abnormal condition or even unhealthy. It is just a normal variation of our anatomy. This does not stop those with a gummy smile from feeling self conscious in the way they smile. This may cause them to refrain from wide smiles.

What Is A Gummy Smile?

A gummy smile will make our teeth look short and stumpy. In reality, the gum tissue is just showing in proportion to your teeth than the rest of us. There are a variety of reasons for this. These can include:

Gummy Smile Las Vegas Marielaina Perrone DDS-Higher than normal bone levels.

-Possibility of Incomplete Eruption Of Teeth.

-Excess Gingival Tissues.

-Abnormally Thick Gingival Fibers.

-Thin lips.

-Upper Lip pulls up too high while smiling.

The gummy smile may present challenges beyond esthetics. Dental hygiene can be a real issues for the patients with excess tissue. This can lead to increased incidence of tooth decay as well periodontal disease development. The excessive gingival tissues will hinder attempts to keep areas clean and free of plaque and tartar. People with a gummy smile tend to present with puffy, red gum tissues. This is called gingivitis and is the earliest form of periodontal disease. It is reversible. Another note, is that most people notice a gummy smile only on front teeth but it can be present on back teeth as well.

Treatment For A Gummy Smile

An experienced, well trained cosmetic dentist will be well versed in treatment for a gummy smile. In fact, the gummy smile procedure can be one of the most rewarding for both dentist and patient alike. The change is immediate and patients report increased self confidence and ability to interact socially better than before.

Below you will find detailed list of gummy smile treatment options. The procedure used will depend on why the gummy smile exists.

Surgical Treatment Of Gummy Smile

Gingivectomy (another term is gingivoplasty which includes gum contouring). This dental procedure is simply removal of excess gingival tissue from around the teeth. Removing excess gingival tissue is just the first step. Your cosmetic dentist will remove and reshape the tissues for an esthetic result. You would be surprised how little gingival tissue is actually removed in most cases. Your dentist a laser, an electrical cautery unit, or make periodontal incisions to remove and reshape the gum tissues. Local anesthetic is necessary during gummy smile procedure for comfort. This gummy smile treatment will not require any sutures and generally the gum tissues heal within 1-2 weeks following the procedure. A gingivectomy is usually the recommended gummy smile procedure when only a few teeth are affected by the gummy smile issue. In other cases, bone tissues may need to be remodeled as well.

-Crown Lengthening. This gummy smile procedure allows for your dentist to remove bone tissues as well as gum tissues. This procedure can be a bit more advanced in technique but still fairly easy for most periodontists.

Non-Surgical Treatment Of Gummy Smile

Botox For Gummy Smile. The use of Botox is fairly new for treatment of gummy smile. The botox application relaxes the muscles (levator) in the upper lip causing the lip to not curl under or lift as high upon smiling. The botox relaxes the lip for a more balanced smile. This still allows you to smile, it just limits the height of the upper lip movement. The treatment lasts about 3 months so no worries about permanent changes.

Both surgical and non surgical procedures have very low risks and are easily completed. Obviously, the botox injections will be the least invasive but in some cases botox alone will not give the desired results. Using dermal fillers along with Botox may also help those with thinner lips.

Can A Gummy Smile Be Fixed? Conclusion

Upon healing, the results of a gummy smile treatment can be quite dramatic and striking. Both patient and Doctor alike will be in awe of the change. It is that dramatic generally. This treatment can be a real change for some in their outlook on life. Study after study has shown when we feel good about ourselves it changes how others perceive us opening doors socially and in business. Most patients return and have one complaint. Why didn’t we do this sooner? Don’t wait if this is an issue for you. See your dentist and talk over the best options for your smile.



Are Dental Implants Safe? They have been a highly successful dental procedure offered by dentists around the world. As a matter of fact a well planned dental implant will have success rate over 98%. As dental implants technology has evolved materials and techniques have advanced as well. Below we will attempt to answer the question….Are Dental Implants Safe?

Are Dental Implants Safe? Benefits

EstheticsDental implants have the ability to give you a fuller, healthier smile you have always dreamed of.

Peace Of Mind. Living your life in fear of what you can and cannot eat is not a fun proposition. Dental implants can give you peace of mind that you can eat whatever you want and not worry about the social implications. Millions of patients have proven the answer is yes to the question are dental implants safe?

Improved Function. Big improvement in eating and speech. With missing teeth, eating and speaking can be quite a challenge. For those who enjoy eating or need to speak in front of others dental implants can give a huge boost.

Are Dental Implants Safe Henderson NV Marielaina Perrone DDSEliminate Health Issues. Clinical studies have shown a direct link between dental health and overall health. Dental implants can restore your mouth to a healthy state giving you an edge in maintaining overall health. Uncontrolled dental health can lead to the development and advancement of periodontal disease. This disease is quite progressive and if left untreated it can lead to cardiovascular disease (heart attacks and stroke), Alzheimer’s disease, and even diabetes. Once patients are ready for dental implants, their mouth must be in a healthy state. Dental implants will lead to better overall health.

Life Quality Improvement. Dental implants give you a natural looking smile and improve overall function. This is especially true for wearers of dentures. Dental implants will allow you to free yourself of the use of denture adhesives and relieve you of discomfort from ill fitting dentures.

Increased Self Esteem and Self Confidence. This includes being able to smile effortlessly without fear. Dental implants look and feel just like real teeth. You can laugh, smile, and just feel good about who you are and the way you look.

Are Dental Implants Safe? Risks

Dental Implants Fail To Integrate. When dental implants heal properly they integrate with the surrounding bone (this is called osseointegration). If osseointegration does not occur it will lead to dental implant failure. A well trained implant dentist will be able to evaluate and treatment plan properly to minimize the risks associated with dental implants. If a dental implant does not integrate as planned it can be removed. Once the area has healed another surgery can be attempted at a later date.

Surgical Infection. Of all the risks associated with dental implants this is the most common. This can occur from non sterile intruments, a dental implant that has been contaminated, decreased healing ability, or a pre existing infection being present. Dental implants are associated with a condition called Peri-Implantitis. This is an inflammation or swelling of the surrounding tissues where the dental implant was placed. If peri-implantitis is not treated properly and in a timely manner it can lead to implant failure and bone loss. These infections generally occur quickly after surgery but can in some rare intances occur months to years after surgery. Important to have your dental implants evaluated during routine dental examinations 2x per year.

Post Surgical Bleeding. Minimal bleeding following surgery is normal and is considered quite normal for about 1-2 days following surgery. Placing a gauze pad placed over the surgical area for 30 minutes should normally stop the bleeding. Bleeding beyond that time is not normal and you should notify your implant dentist immediately if you have concerns about your dental implants or the surgery.

Surrounding Tissue Damage. Placement of dental implants is a precise surgery. Surrounding areas can be damaged including adjacent teeth, sinus cavity, or nerves. Once again choose your implant dentist wisely. One with experience and proper training will minimize these risks. Even the most skilled implant dentist can have errors. However, the complications can be minimized as well as how they are handled if complications were to arise.

Allergies. Some patients have been known to have allergic reactions to titanium. If you know you are allergic to titanium let your dentist know during initial discussions.

-Dental Implant Corrosion. Titanium dental implants are designed to fight corrosion but it still can happen. If corrosion were to happen the dental implant likely would need to be removed. Your implant dentist will evaluate what comes next if this were to happen.

Are Dental Implants Safe? Bone Grafts

A bone graft is the replacement or addition to the bone around the teeth. Bone grafting is a term used to describe a variety of procedures used to add or build bone so that dental implants can be placed and give greater success long term.

A bone graft typically involves adding bone or bone like materials to the jaw. The bone graft can consist of your own bone (also called Autologous bone), synthetic bone, can be processed bone obtained from a cadaver (also called Allograft), or can even come from bovine/cow sources (these types are also called Xenografts). After grafting, you generally have to wait several months for the grafted material to fuse or become one with the existing bone structure.  Processed bone grafted materials either cause surrounding bone to grow into the graft or cause cells around the graft to change into bone. Autologous bone transplants bone cells or a block of bone that fuses to the jaw.

Dental bone grafts for the purpose of dental implants has a very high success rate. But there is always a possibility that the bone graft will not work as planned, even if your own bone was used. Bone grafts are not rejected by the body like organ transplants. There is still some mystery as to why some bone grafts fail. We do know that certain patients (example – smokers, diabetics, and patients with poor dental hygiene) have higher risks of graft failure.

A failed bone graft will need to be removed. Once the area has healed properly, you and your dentist may choose to place a second bone graft.

Are Dental Implants Safe? Diabetes

According to a clinical study by the Journal of the American Dental Association, dental implants have been found to be safe for diabetics.

The clinical study observed dental patients with uncontrolled diabetes who also had dental implants. Following one year, none of the dental implants were lost and they found zero connection between elevated blood sugar and dental implant complications.

This does not mean that if you are a diabetic, you will not experience dental implant complications. But having diabetes should not be a major concern for you or your dentist in regards to getting a dental implant.

Are Dental Implants Safe? Conclusion

Dental Implants have proven to safe with decades of dental use. The question should not be are dental implants safe? but are dental implants right for me? Ask your dentist 89014 today for a consultation to restore your smile!



A dental overbite is when your upper front teeth overlap with your lower front teeth. Most patients have at least a small dental overbite. Orthodontic braces can fix many issues including a dental overbite. An overbite can have a negative impact on our cosmetic smile.

Causes Of A Dental Overbite?

The term occlusion is a dental term that refers to how our teeth align with each other. A dental overbite is a type of malocclusion (a deviation form normal occlusion). A malocclusion is a misalignment or incorrect relation between the teeth of the two dental arches when they approach each other as the jaws close. A dental overbite is when a patient’s upper teeth sticks out fart beyond the lower teeth. Dental overbites are usually a genetic trait passed on down from parents. It can also be caused by a behavioral habit leading to malformed jaw development. These can include thumb sucking, prolonged use of a pacifier, teeth grinding, tongue thrust issues, biting our nails, or chewing on objects. TMJ disorder can also cause a malocclusion as well as loss of teeth as the our teeth shift.

Dental Overbite Henderson NV Marielaina Perrone DDSDental malocclusions can fall into 1 of 3 categories:

Class One Malocclusion. This type of malocclusion indicates when a normal dental bite is with a slight overlap of the upper teeth. This is the most common malocclusion.

Class Two Malocclusion. This type of malocclusion is diagnosed when the dental overbite is severe. Another term for this is retrognathic.

Class Three Maloccluison. This is a severe dental underbite (when the lower teeth overlap the upper teeth). Another term for this is prognathic.

2 Types of Dental Overbites

-Vertical Overbite. This occurs when the top teeth significantly overlap the lower teeth.

-Horizontal Overbite. This happens when the top teeth protrude over the lower teeth.

Dental overbites can also be classified as either dental or skeletal. A dental overbite means that the teeth are the root cause of the dental overbite. A skeletal overbite identifies the jaw as the root cause of the dental overbite.

Treatments Of A Dental Overbite

Orthodontic braces are the #1 treatment for a dental overbite. A dental overbite can be diagnosed by a dentist or orthodontist. There is not an age limit on overbite treatment. It will just be easier on still growing children vs adults. It is usually very easy to see visually so parents can understand easily. In some cases, radiographs and dental impressions will be needed to fully assess the dental overbite. Orthodontic braces along with dental elastic bands . These bands along with orthodontic braces will slowly and methodically place forces on the jaw and teeth to bring things into a more cosmetic alignment thus eliminating the dental overbite.

In a severe dental overbite, removal of teeth (usually premolars) may be necessary or even dental surgery to re position the lower jaw.

A dental overbite can create issues in dental hygiene which can lead to an increased incidence of tooth decay and periodontal disease.

Possible Dental Overbite Treatment For Children and Young Adults

-Early removal of baby teeth. This will give permanent teeth extra room for eruption into the mouth.

-Growth modification appliance. This will be used during growth periods to help better position the jaw

-Orthodontic Braces. Use of braces will apply forces in a direct way slowly moving the teeth to correct the overbite along with the jaw.

-Orthodontic Retainers. These orthodontic devices are used following orthodontic treatment to help to keep the teeth in place after completion of treatment.

Possible Dental Overbite Treatment For Adults

– Orthodontic Braces. This allows movement of the teeth to correct a dental overbite.

-Teeth removal. Both dentists and orthodontists try to avoid removing permanent teeth but this will become necessary in very severe dental overbite cases. This is to allow the teeth more freedom to move.

-Dental Surgery. This may be needed for skeletal dental overbites that can only be corrected with surgery.

Untreated Dental Overbite?

If a dental overbite is left untreated there can be significant issues both dentally and for our health. The following are possible complications that can arise from not treating a dental overbite:

-TMJ Disorders including jaw pain.

-Increased risk of tooth decay and periodontal disease.

-Headaches.

-Pain upon eating and chewing.

Sleep Apnea.

Speech issues like lisps.

Dental Overbite Conclusion

Your dentist or orthodontist will be able to easily diagnose your dental overbite and offer you options to correct it. We all want a perfect smile but a dental overbite can cause other dental issues beyond cosmetics. Remember to see your dentist regularly for dental examinations and professional cleanings to keep your smile healthy and happy for a lifetime!




Teeth whitening is by far the #1 cosmetic dentistry procedure (estimates say it is around 100 million per year in USA alone) performed every day around the globe. There are many reasons for teeth whitening being so popular. A major reason is our desire to look more youthful. Teeth whitening can turn back the clock on your smile. The next reason and just as important is cost. Teeth whitening is one of the least expensive cosmetic dentistry procedures which allows it to be available to a wider range of patients. Teeth whitening might seem like a modern phenomena but it is not. Generations of people have been trying to brighten and whiten their smiles since the earliest days of civilization. Surprisingly, the basic ingredients used today have been around since early in the 19th century.

Marielaina Perrone DDS Teeth Whitening Las Vegas

Teeth Whitening Las Vegas

Earliest Teeth Whitening Attempts

The earliest attempts at teeth whitening were primitive to say the least. The earliest people on earth used sticks and thorns to attempt to clean their teeth. Civilization is what led to people wanting to look their best. Looking good with white teeth was considered a sign of wealth and possible nobility. The Roman empire and Egyptian empire were ahead of their times. The Romans used a paste for their teeth composed of goat’s milk and urine! While the Egyptians used pumice and wine vinegar. The Egyptians were heading in the right direction as vinegar can remove stains and pumice can smooth the surface. Around the 12th century, the medical doctors recommended a sage and salt rub for teeth whitening. By the 17th century, the local barber was called upon for dental advice. These barbers would offer services to use a metal file to roughen the surface of clients teeth and then paint on nitric acid. The idea is to roughen the surface so the nitric acid can stick and begin to remove staining. In the mid to late 18th century, oxalic acid was used for teeth whitening again by the medical community. I am sure by now you are horrified by these crude attempts at teeth whitening in ancient times. These techniques probably had limited success but caused maximum damage.

Modern Teeth Whitening Techniques

Luckily, dentistry has advanced and we have a better understanding of dental materials and dental techniques. There are various methods offered both in home and in the dental office. Below will be a review of the different teeth whitening methods available today to safely whiten your teeth.

Teeth Whitening Toothpastes. Cheapest method of teeth whitening but also the least effective with very limited teeth whitening results. There are many different teeth whitening toothpastes on the market today by various different brands. They all tout great results but in reality the results are highly variable from patient to patient. For some with light staining this method may work well enough to make you happy. While others with extensive staining they will see little to no benefit. But in the end, for a few pennies more it is worth a try as we are all brushing daily anyway!

Teeth Whitening Strips. This method is a bit more expensive than just using a teeth whitening toothpaste. These are sold over the counter at your local pharmacy or big box store. The active ingredient in teeth whitening strips is usually the same as professional teeth whitening products. However, the dosage and concentration is lowered for safety. Again these may work well for some but not so well for others. These are also harder to use as they have a bit of a learning curve with them. These teeth whitening strips must be placed evenly across all your teeth and cannot be applied to a single tooth that might need more help than the others. These have also been known to irritate the gum tissues if the placement is off or they move during use.

ProfessionaTeeth Whitening With Custom Fit Dental Trays. This is a personalized cosmetic dentistry procedure. Your dentist will evaluate your smile and create custom fir dental trays. These trays will be comfortable to wear but also evenly distribute teeth whitening gel across all teeth quite easily. This method also allows for isolation of just a few teeth if needed. These custom fit dental trays can be worn day or night usually for a period of 1-4 weeks. This option is flexible and provides excellent results. The only downside to this method vs the previous two is cost. This method will carry a higher cost but the results are far batter. Each patient will need to weigh the pros and cons of each method for what is best for their individual smile.

Teeth Whitening Performed By Your Dentist. This method carries the highest cost but also gives you the fastest, most effective results of all teeth whitening methods. This method is completed 30 minutes to an hour right in your dentist’s office. A special light and teeth whitening gel is used for this procedure. The teeth whitening gel is highly concentrated and is accelerated by the special teeth whitening light. This makes this method highly effective and very efficient. The main disadvantage is this comes with a higher cost but I am sure you can understand why.

Disadvantages Of Teeth Whitening

Tooth sensitivity and gum tissue irritation can occur in any of the teeth whitening methods listed above. If either occurs it is best to contact your dentist. They will probably recommend a visit to office to discuss options or advise to cease using the teeth whitening products for a day or two to let things settle down. Gum tissue irritation and teeth sensitivity is generally reversible. Your dentist may recommend a sensitive teeth toothpaste like sensodyne or a topical gel (orajel) to relieve gum tissue irritation.

Maintenance Tips Of Teeth Whitening

Teeth whitening is highly effective but staining will occur again over time. Teeth whitening is not a one and done dental procedure. Touch ups will be needed over time. Below are some dental tips to maintain teeth whitening longer:

-Brush after every meal or at very least rinse mouth with water after eating and drinking.

-Floss to remove plaque foods trapped between the teeth

-Following teeth whitening it is important to limit staining foods and drink for about 2-3 days.

-Use a straw to drink fluids that can cause staining of your teeth.

-Lose the Habits like smoking and drinking which are known to stain our teeth

History Of Teeth Whitening Conclusion

Teeth whitening using modern dental materials has proven to safe and highly effective in whitening our smiles. The limited drawbacks can be overcome and should not hinder the desire for a whiter, more youthful smile.